{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T02:05:16Z","timestamp":1792634716071,"version":"4.5.0"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T00:00:00Z","timestamp":1600128000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T00:00:00Z","timestamp":1600128000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T00:00:00Z","timestamp":1600128000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To determine the effects of unilateral and bilateral ankle stabilization surgery with or without additional concurrent procedures for other pathologies on return to activity in patients who were allowed unrestricted weight bearing postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ninety\u2010three athletes underwent 120 ankle stabilization surgeries including 27 that underwent bilateral simultaneous surgery using the all\u2010inside arthroscopy\u2010modified lasso\u2010loop technique and were divided into two groups: arthroscopic ligament repair alone without concurrent procedures (group A) and with simultaneous procedures for other pathologies (group B). Group A was further subdivided into unilateral (group A1) and simultaneous bilateral ankle surgery (group A2), and group B into ankle stabilization surgery with simultaneous procedures not requiring weight bearing postoperatively (Group B1) and with concurrent procedures allowing weight bearing (Group B2). Return to activity postoperatively was assessed by recording the time to walk without any support, jog, and return to full athletic activities. Clinical outcomes were assessed preoperatively and 12\u00a0months postoperatively using a subjective clinical score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average time between surgery and unsupported walk, jog, and return to full athletic activities was 1.6\u2009\u00b1\u20092.5, 16.9\u2009\u00b1\u20093.7, and 42.4\u2009\u00b1\u200919.3\u00a0days in group A, 17.2\u2009\u00b1\u200919.6, 34.5\u2009\u00b1\u200920.8, and 60.9\u2009\u00b1\u200922.8\u00a0days in group B, 1.7\u2009\u00b1\u20092.9, 16.1\u2009\u00b1\u20092.4, and 41.6\u2009\u00b1\u200918.2\u00a0days in group A1, 1.3\u2009\u00b1\u20090.6, 18.9\u2009\u00b1\u20095.5, and 44.6\u2009\u00b1\u200922.5\u00a0days in group A2, 25.3\u2009\u00b1\u200920.2, 43.3\u2009\u00b1\u200921.1, and 70.7\u2009\u00b1\u200923.1\u00a0days in group B1, and 4.8\u2009\u00b1\u200911.7, 20.7\u2009\u00b1\u200911.7, and 45.0\u2009\u00b1\u200913.7\u00a0days in group B2, respectively. These results indicate that the patients in group B2 showed a statistically significant faster time to return to activity than did those restricted from weight bearing. Differences in ankle stabilization alone between patients in groups A1 and A2 as well as groups B2 and A were not statistically significant. Clinical outcomes were similar for patients in groups B2 and A1 versus group A2.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Time to return to activity and clinical outcomes after ankle stabilization surgery using the modified lasso\u2010loop technique were negatively affected if simultaneous bilateral surgery or simultaneous concurrent procedures were added or if weight bearing was unrestricted. However, a delay in return to athletic activity was observed when ankle stabilization surgery was performed using the modified lasso\u2010loop technique with concurrent procedures that require non\u2010weight bearing postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-020-06264-2","type":"journal-article","created":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T15:02:33Z","timestamp":1600182153000},"page":"2006-2014","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Clinical outcomes of concurrent surgery with weight bearing after modified lasso\u2010loop stitch arthroscopic ankle stabilization"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1186-7745","authenticated-orcid":false,"given":"Masato","family":"Takao","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Clinical and Research Institute for Foot and Ankle Surgery 341\u20101, Mangoku 292\u20100003 Kisarazu Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryota","family":"Inokuchi","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Clinical and Research Institute for Foot and Ankle Surgery 341\u20101, Mangoku 292\u20100003 Kisarazu Chiba Japan"},{"name":"<!--<label>2<\/label>--> Department of Health Services Research, Faculty of Medicine University of Tsukuba 1\u20101\u20101 Tenno\u2010dai Tsukuba Ibaraki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuyuki","family":"Jujo","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Clinical and Research Institute 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